Lobectomía pulmonar en manguito, reporte de un caso y revisión de la literatura
DOI:
https://doi.org/10.30944/20117582.160Palabras clave:
neoplasias pulmonares, carcinoma de pulmón de células no pequeñas, neoplasias de los bronquios, toracotomía, lobectomía en manguitoResumen
La lobectomía pulmonar con broncoplastia (lobectomía en manguito) se introdujo para las resecciones de cáncer pulmonar en pacientes que no toleraban una neumonectomía. Sin embargo, con el paso del tiempo se ha ido consolidando como un procedimiento oncológico, aunque persisten algunas preguntas sin resolver en la literatura.
Se presenta el caso de un paciente con cáncer pulmonar al que se le practicó una lobectomía en manguito y se revisa la literatura al respecto, tratando de responder las preguntas sobre la validez de este procedimiento como una cirugía oncológica, los riesgos quirúrgicos y los efectos fisiológicos en la función pulmonar.
A pesar de requerir una anastomosis bronquial, la lobectomía en manguito es un procedimiento oncológicamente válido y comparable a una neumonectomía pero con un menor impacto funcional en el pulmón, por lo que se recomienda en los pacientes que anatómicamente la necesitan.
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Referencias bibliográficas
1. Tsuchiya R. Bronchoplastic techniques. En: Pearson G, Cooper J, Deslauriers J, Ginsberg R, Hiebert C, Patterson G, et al., editors. Thoracic surgery. New York: Churchill Livingstone; 2002. p. 1005-13.
2. Camacho F. ¿Cómo hacerlo? Resecciones traqueales y en manguito. Rev Colomb Neumol. 2003;15:127-31.
3. Park J, Yang H, Kim H, Kim K, Shim Y, Choi Y, et al. Sleeve lobectomy as an alternative procedure to pneumonectomy for non-small cell lung cancer. J Thorac Oncol. 2010;5:517-20.
https://doi.org/10.1097/JTO.0b013e3181d0a44b
4. Nesbitt J, Wind G. Right upper lobectomy and sleeve resection. En: Nesbitt J, Wind G, editors. Thoracic surgical oncology: Exposures and techniques. New York: Lippincott Williams and Wilkins; 2003. p. 56-64.
5. Faber L. Sleeve lobectomy. En: Shields T, LoCicero J, Ponn R, Rush V, editors. General thoracic surgery. New York: Lippincott Williams and Wilkins; 2005. p. 458-69.
6. Ashiku S, DeCamp M. Parenchimal-sparing procedures in lung cancer: Sleeve resection of the lung for proximal lesions. Oper Tech Thor Card Surg. 2006;11:295-309.
https://doi.org/10.1053/j.optechstcvs.2006.11.001
7. Venuta F, Rendina E. Combined pulmonary artery and bronchial sleeve resection. Oper Tech Thor Card Surg. 2008;12:260-73.
https://doi.org/10.1053/j.optechstcvs.2008.12.001
8. D ́Amico T. Right upper lobe sleeve resection. Oper Tech Thor Card Surg. 1998;3:178-82.
https://doi.org/10.1016/S1522-2942(07)70088-0
9. Konstantinou M, Potaris K, Sakellaridis T, Chamalakis G. Sleeve lobectomy for patients with non-small-cell lung cancer: A simplified approach. Eur J Cardiothorac Surg. 2009;36:1045- 51.
https://doi.org/10.1016/j.ejcts.2009.04.055
10. Alberg J, Ford J, Samet J. Epidemiology of lung cancer: ACCP evidence-based clinical practice guidelines (second edition). Chest. 2007;132:29-55.
https://doi.org/10.1378/chest.07-1347
11. Ochoa F, Montoya L. Mortalidad por cáncer en Colombia 2001. Revista CES Medicina. 2004;18:19-36.
12. Departamento Administrativo Nacional de Estadística - DANE. Estadísticas vitales. Fecha de consulta: junio de 2010. Disponible en: http://www.dane.gov.co/daneweb_V09/index.php? option=com_content&view=article&id=788&Itemid=119.
13. Ginsberg R, Martini N. Non-small cell lung cancer. Surgical management. In: Pearson G, Ginsberg R, Cooper J, Deslauriers J, Hiebert C, Patterson G, et al., editors. Thoracic surgery. New York: Churchill Livingstone; 2002. p. 837-59.
14. Pisters K. Surgery and chemotherapy. In: Pass H, Mitchell J, Johnson D, Turrisi A, Minna J, editors. Lung cancer principles and practice. Philadelphia: Lippincott Williams and Wilkins; 2000. p. 769.
15. Gaissert H, Mathisen D, Moncure A, Hilgenberg A, Grillo H, Wain J. Survival and function after sleeve lobectomy for lung cancer. J Thorac Cardiovasc Surg. 1996;111:948-53.
https://doi.org/10.1016/S0022-5223(96)70369-0
16. Okada M, Yamagishi H, Satake S, Matsuoka H, Miyamoto Y, Yoshimura M, et al. Survival related to lymph node involvement in lung cancer after sleeve lobectomy compared with pneumonectomy. J Thorac Cardiovasc Surg. 2000;199:814-9.
https://doi.org/10.1016/S0022-5223(00)70018-3
17. Bagan P, Berna P, Pereira J. Sleeve lobectomy versus pneumonectomy: Tumor characteristics and comparative analysis of feasibility and results. Ann Thorac Surg. 2005;80:2046-50.
https://doi.org/10.1016/j.athoracsur.2005.06.045
18. Okada M, Yamagishi H, Satake S, Matsuoka H, Miyamoto Y, Yoshimura M, et al. Survival related to lymph node involvement in lung cancer after sleeve lobectomy compared with pneumonectomy. J Thorac Cardiovas Surg. 2000;119:814-9.
https://doi.org/10.1016/S0022-5223(00)70018-3
19. Icard PH, Regnard J, Guibert L, Magdeleinat P, Jauffret B, Levasseur PH. Survival and prognostic factors in patients undergoing parenchymal saving bronchoplastic operation for primary lung cancer: A series of 110 consecutive cases. Eur J Cardiothorac Surg. 1999;15:426-32.
https://doi.org/10.1016/S1010-7940(99)00048-2
20. Takeda S, Maeda H, Koma M, Matsubara Y, Sawata N, Inoue M, et al. Comparison of surgical results after pneumonectomy and sleeve lobectomy for non-small cell lung cancer. Trends over time and 20-year institutional experience. Eur J Cardiothorac Surg. 2006;29:276-80.
https://doi.org/10.1016/j.ejcts.2005.12.017
21. Bagan P, Berna P, Pereira JC, Barthes F, Foucault C, Dujon A, et al. Sleeve lobectomy versus pneumonectomy: Tumor characteristics and comparative analysis of feasibility and results. Ann Thorac Surg. 2005;80:2046-50.
https://doi.org/10.1016/j.athoracsur.2005.06.045
22. Martin-Ucar A, Chaudhuri N, Waller E. Can pneumonectomy for non-small cell lung cancer be avoided? An audit of parenchimal sparing lung surgery. Eur J Cardiothorac Surg. 2002;21:601-5.
https://doi.org/10.1016/S1010-7940(02)00028-3
23. Deslauriers J, Grégoire J, Jacques J, Piraux M, Guojin L, Lacasse Y. Sleeve lobectomy versus pneumonectomy for lung cancer: A comparative analysis of survival and sites or recurrents. Ann Thorac Surg. 2004;77:1152-6.
https://doi.org/10.1016/j.athoracsur.2003.07.040
24. Fadel E, Yildizeli B, Chapelier A, Dicenta I, Mussot S, Dartevelle P. Sleeve lobectomy for bronchogenic cancers: Factors affecting survival. Ann Thorac Surg. 2002;74:851-9.
https://doi.org/10.1016/S0003-4975(02)03792-X
25. Ma Z, Dong A, Fan J, Cheng H. Does sleeve lobectomy concomitant with or without pulmonary artery reconstruction (double sleeve) have favorable results for non-small-cell lung cancer compared with pneumonectomy? A meta-analysis. Eur J Cardiothorac Surg. 2007;32:20-8.
https://doi.org/10.1016/j.ejcts.2007.03.018
26. Ferguson M, Lehman A. Sleeve lobectomy or pneumonectomy: Optimal management strategy using decision analysis techniques. Ann Thorac Surg. 2003;76:1782-8.
https://doi.org/10.1016/S0003-4975(03)01243-8
27. Balduyck B, Hendriks J, Lauwers P, Van Schill P. Quality of life after lung cancer surgery: A prospective pilot study comparing bronchial sleeve lobectomy with pneumonectomy. J Thorac Oncol. 2008;3:604-8.
https://doi.org/10.1097/JTO.0b013e318170fca4
28. Vasallo P, Caruso E, Alegre S. Resección pulmonar con broncoplastia para el tratamiento del cáncer de pulmón. Rev Argent Cir. 1989;57:147-50.
29. Fuentes E, Corona S, Ferrara B, Montejo N, Martin J. Resecciones en manguito. Rev Cuba Cir. 2003;42(3): 0-0 . Disponible en: <http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932003000300006&lng=es&nrm=iso>. ISSN 0034-7493.
2. Camacho F. ¿Cómo hacerlo? Resecciones traqueales y en manguito. Rev Colomb Neumol. 2003;15:127-31.
3. Park J, Yang H, Kim H, Kim K, Shim Y, Choi Y, et al. Sleeve lobectomy as an alternative procedure to pneumonectomy for non-small cell lung cancer. J Thorac Oncol. 2010;5:517-20.
https://doi.org/10.1097/JTO.0b013e3181d0a44b
4. Nesbitt J, Wind G. Right upper lobectomy and sleeve resection. En: Nesbitt J, Wind G, editors. Thoracic surgical oncology: Exposures and techniques. New York: Lippincott Williams and Wilkins; 2003. p. 56-64.
5. Faber L. Sleeve lobectomy. En: Shields T, LoCicero J, Ponn R, Rush V, editors. General thoracic surgery. New York: Lippincott Williams and Wilkins; 2005. p. 458-69.
6. Ashiku S, DeCamp M. Parenchimal-sparing procedures in lung cancer: Sleeve resection of the lung for proximal lesions. Oper Tech Thor Card Surg. 2006;11:295-309.
https://doi.org/10.1053/j.optechstcvs.2006.11.001
7. Venuta F, Rendina E. Combined pulmonary artery and bronchial sleeve resection. Oper Tech Thor Card Surg. 2008;12:260-73.
https://doi.org/10.1053/j.optechstcvs.2008.12.001
8. D ́Amico T. Right upper lobe sleeve resection. Oper Tech Thor Card Surg. 1998;3:178-82.
https://doi.org/10.1016/S1522-2942(07)70088-0
9. Konstantinou M, Potaris K, Sakellaridis T, Chamalakis G. Sleeve lobectomy for patients with non-small-cell lung cancer: A simplified approach. Eur J Cardiothorac Surg. 2009;36:1045- 51.
https://doi.org/10.1016/j.ejcts.2009.04.055
10. Alberg J, Ford J, Samet J. Epidemiology of lung cancer: ACCP evidence-based clinical practice guidelines (second edition). Chest. 2007;132:29-55.
https://doi.org/10.1378/chest.07-1347
11. Ochoa F, Montoya L. Mortalidad por cáncer en Colombia 2001. Revista CES Medicina. 2004;18:19-36.
12. Departamento Administrativo Nacional de Estadística - DANE. Estadísticas vitales. Fecha de consulta: junio de 2010. Disponible en: http://www.dane.gov.co/daneweb_V09/index.php? option=com_content&view=article&id=788&Itemid=119.
13. Ginsberg R, Martini N. Non-small cell lung cancer. Surgical management. In: Pearson G, Ginsberg R, Cooper J, Deslauriers J, Hiebert C, Patterson G, et al., editors. Thoracic surgery. New York: Churchill Livingstone; 2002. p. 837-59.
14. Pisters K. Surgery and chemotherapy. In: Pass H, Mitchell J, Johnson D, Turrisi A, Minna J, editors. Lung cancer principles and practice. Philadelphia: Lippincott Williams and Wilkins; 2000. p. 769.
15. Gaissert H, Mathisen D, Moncure A, Hilgenberg A, Grillo H, Wain J. Survival and function after sleeve lobectomy for lung cancer. J Thorac Cardiovasc Surg. 1996;111:948-53.
https://doi.org/10.1016/S0022-5223(96)70369-0
16. Okada M, Yamagishi H, Satake S, Matsuoka H, Miyamoto Y, Yoshimura M, et al. Survival related to lymph node involvement in lung cancer after sleeve lobectomy compared with pneumonectomy. J Thorac Cardiovasc Surg. 2000;199:814-9.
https://doi.org/10.1016/S0022-5223(00)70018-3
17. Bagan P, Berna P, Pereira J. Sleeve lobectomy versus pneumonectomy: Tumor characteristics and comparative analysis of feasibility and results. Ann Thorac Surg. 2005;80:2046-50.
https://doi.org/10.1016/j.athoracsur.2005.06.045
18. Okada M, Yamagishi H, Satake S, Matsuoka H, Miyamoto Y, Yoshimura M, et al. Survival related to lymph node involvement in lung cancer after sleeve lobectomy compared with pneumonectomy. J Thorac Cardiovas Surg. 2000;119:814-9.
https://doi.org/10.1016/S0022-5223(00)70018-3
19. Icard PH, Regnard J, Guibert L, Magdeleinat P, Jauffret B, Levasseur PH. Survival and prognostic factors in patients undergoing parenchymal saving bronchoplastic operation for primary lung cancer: A series of 110 consecutive cases. Eur J Cardiothorac Surg. 1999;15:426-32.
https://doi.org/10.1016/S1010-7940(99)00048-2
20. Takeda S, Maeda H, Koma M, Matsubara Y, Sawata N, Inoue M, et al. Comparison of surgical results after pneumonectomy and sleeve lobectomy for non-small cell lung cancer. Trends over time and 20-year institutional experience. Eur J Cardiothorac Surg. 2006;29:276-80.
https://doi.org/10.1016/j.ejcts.2005.12.017
21. Bagan P, Berna P, Pereira JC, Barthes F, Foucault C, Dujon A, et al. Sleeve lobectomy versus pneumonectomy: Tumor characteristics and comparative analysis of feasibility and results. Ann Thorac Surg. 2005;80:2046-50.
https://doi.org/10.1016/j.athoracsur.2005.06.045
22. Martin-Ucar A, Chaudhuri N, Waller E. Can pneumonectomy for non-small cell lung cancer be avoided? An audit of parenchimal sparing lung surgery. Eur J Cardiothorac Surg. 2002;21:601-5.
https://doi.org/10.1016/S1010-7940(02)00028-3
23. Deslauriers J, Grégoire J, Jacques J, Piraux M, Guojin L, Lacasse Y. Sleeve lobectomy versus pneumonectomy for lung cancer: A comparative analysis of survival and sites or recurrents. Ann Thorac Surg. 2004;77:1152-6.
https://doi.org/10.1016/j.athoracsur.2003.07.040
24. Fadel E, Yildizeli B, Chapelier A, Dicenta I, Mussot S, Dartevelle P. Sleeve lobectomy for bronchogenic cancers: Factors affecting survival. Ann Thorac Surg. 2002;74:851-9.
https://doi.org/10.1016/S0003-4975(02)03792-X
25. Ma Z, Dong A, Fan J, Cheng H. Does sleeve lobectomy concomitant with or without pulmonary artery reconstruction (double sleeve) have favorable results for non-small-cell lung cancer compared with pneumonectomy? A meta-analysis. Eur J Cardiothorac Surg. 2007;32:20-8.
https://doi.org/10.1016/j.ejcts.2007.03.018
26. Ferguson M, Lehman A. Sleeve lobectomy or pneumonectomy: Optimal management strategy using decision analysis techniques. Ann Thorac Surg. 2003;76:1782-8.
https://doi.org/10.1016/S0003-4975(03)01243-8
27. Balduyck B, Hendriks J, Lauwers P, Van Schill P. Quality of life after lung cancer surgery: A prospective pilot study comparing bronchial sleeve lobectomy with pneumonectomy. J Thorac Oncol. 2008;3:604-8.
https://doi.org/10.1097/JTO.0b013e318170fca4
28. Vasallo P, Caruso E, Alegre S. Resección pulmonar con broncoplastia para el tratamiento del cáncer de pulmón. Rev Argent Cir. 1989;57:147-50.
29. Fuentes E, Corona S, Ferrara B, Montejo N, Martin J. Resecciones en manguito. Rev Cuba Cir. 2003;42(3): 0-0 . Disponible en: <http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932003000300006&lng=es&nrm=iso>. ISSN 0034-7493.
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Publicado
2010-07-01
Cómo citar
(1)
Velásquez M. Lobectomía Pulmonar En Manguito, Reporte De Un Caso Y revisión De La Literatura. Rev Colomb Cir 2010, 25, 237-243.
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Todos los textos incluidos en la Revista Colombiana de Cirugía están protegidos por derechos de autor. Las opiniones expresadas en los artículos firmados son las de los autores y no coinciden necesariamente con las de los directores o los editores de la Revista Colombiana de Cirugía. Las sugerencias diagnósticas o terapéuticas como elección de productos, dosificación y métodos de empleo corresponden a la experiencia y al criterio de los autores.
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